John Daughtrey Memorial Award Application

John Daughtrey, former Affiliate Director of the North and South Carolina Future Problem Solving Program, was a dedicated advocate of FPS. Nominees for this award may be a director, evaluator, or staff person who has made a significant impact on an FPS program at the Affiliate level.

Please type information into the boxes:

Nominee Name:

Address:

Email

Affiliate:

Affiliate Director:

Nominated By:

Nominated By Email:

Please provide the following information to describe the nominee’s contributions to FPS:

Years of Service:

Positions held within FPS:

Pertinent details illustrating dedication to Future Problem Solving:

Please attach a statement of achievements about the nominee, up to two (2) letters of support, and any other materials (newspaper articles, etc.) that you feel support this nomination. Total submission may not exceed six (6) pages, including this cover page. Each letter of support should not exceed 500 words.

Also please upload a headshot photo that can be used in print materials.